eFONA

eFONA Data Presentation by Dr. Laura Duggan

Difficult Airway Society Annual Scientific Meeting

November 24, 2017

(Maximize presentation slides for optimal viewing)

Why look at front of neck access/surgical airway?

Most healthcare providers perform emergency front of neck access/surgical airway infrequently.

Multiple techniques are recommended usually based on experience, training or strong opinion. 

Patient-based evidence remains sparse. 

We would like to change this.

What does the app record about your front of neck access?

Our app records the details of your experience of either performing or witnessing first-hand an emergency front of neck access/surgical airway.

Aside from the country where the emergency front of neck access/surgical airway took place, all data is collected anonymously. 

As this is an anonymous secure world-wide quality improvement project, our local Ethics council determined ethics approval is not required. 

We want to capture information and experiences that have been difficult to study using traditional research methods. 

This is Really Important Because

Time is extremely limited in life-threatening airway emergencies. The first procedure chosen must be associated with the highest success rate. A patient should not suffer anoxic damage or death because we simply don't know what that first choice should be.

High stakes. Infrequent emergency circumstances. Infrequently used procedures that practitioners have often only practised on plastic or animal models.

We must find out under such high-risk emergency circumstances what works and what does not. 

We can only find out this information by accumulating the experiences of the many  'who have been there'. By sharing your clinical experiences, you are contributing to a large dataset that will help to answer what works best. 

More About the App

Information will be collected for a two-year period. 

Our app is easy to fill out. It takes 2-3 minutes and, aside from what country emergency front of neck access/surgical airway took place in, is entirely anonymous. 

Results from the app will be updated on the website every three months. 

Emergency CICO. FONA attempted with wire-guided cricothyrotomy resulting in false passage. (photo used with permission from patient)